Family, culture, and health practices among migrant farmworkers.
Family, culture, and health practices among migrant farmworkers.
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DOI：
10.1207/s15327655jchn1201_2
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发表时间：
1995-01-01
影响因子：
1
通讯作者：
Rogers, P W
中科院分区：
文献类型：
--
作者：
Bechtel, G A;Shepherd, M A;Rogers, P W
由于频繁地在各州之间迁移、语言和文化障碍以及有限的经济和政治资源，农民工及其家人获得医疗和公共服务的机会受到限制。这些家庭在不合格的环境中生活和工作，患慢性病和传染病的风险更大。通过个人观察、非结构化访谈以及个人和国家健康记录，对 225 名农民工及其家人的健康状况进行了评估，发现儿童的免疫接种情况良好，但龋齿和头虱却很流行。在成年人中，近三分之一的结核病暴露检测呈阳性。尿路感染是女性最常见的健康问题。由于这些服务的资金不易获得，一级和二级预防几乎不存在。父权制度限制了家庭健康和社会服务需求，从而加剧了这些问题。尽管向移民社区提供全面的医疗保健面临着独特的挑战，但护士可以通过战略干预和卫生服务系统的替代用途来证明其在降低发病率方面的有效性。
Migrant farmworkers and their families have restricted access to health and human services because of their frequent relocation between states, language and cultural barriers, and limited economic and political resources. Living and working in substandard environments, these families are at greater risk for developing chronic and communicable disease. In an assessment of health patterns among 225 migrant workers and their families, using personal observations, unstructured interviews, and individual and state health records, children's immunizations were found to be current, but dental caries and head lice were epidemic. Among adults, almost one third tested positive for tuberculosis exposure. Urinary tract infections were the most common health problem among women. Primary and secondary prevention were almost nonexistent because funds for these services were not readily available. The patriarchal system contributes to these problems by limiting access to family-health and social service needs. Although providing comprehensive health care to migrant communities presents unique challenges, nurses can demonstrate their effectiveness in reducing morbidity through strategic interventions and alternative uses of health delivery systems.